Drawing from a case study in rural British Columbia, this article examines the experiences of individuals providing unpaid care for family members on hemodialysis and how these experiences fit within larger political and socio‐economic policy contexts. We suggest that the current shift towards home‐based renal care, the “domestication of dialysis,” reflects a broader trend towards a reduction of public health services, assumptions about the feasibility of unpaid care work in rural settings, and an increasing reliance on individuals—rather than the state—to support dependency and produce healthy citizens. This article confirms the challenges that come with providing daily care to a family member with a chronic disease and the gendered nature of unpaid care work. It also extends discussions of unpaid care to include how these challenges can be applied to renal care and complicated by rural residence.

中文翻译：

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驯化透析：不列颠哥伦比亚省农村地区非正式肾脏护理的女权政治经济学分析。

本文从不列颠哥伦比亚省农村的一个案例研究中，考察了个人为家庭成员提供无偿照护的血液透析经验，以及这些经验如何适应更大的政治和社会经济政策环境。我们建议，当前向家庭肾脏护理的转变，即“透析”，反映了减少公共卫生服务的广泛趋势，对农村地区无偿护理工作的可行性的假设以及对个人的依赖日益增加（而不是国家）支持依赖性并培养健康的公民。本文证实了为患有慢性疾病的家庭成员提供日常护理以及无偿护理工作的性别性质所面临的挑战。